Reference Form

Step 2: Reference Form

Note: Clinical Academics who have obtained three references as part of the initial interview process have already completed this step.

  • Email the Reference Form directly to your chosen three references.
  • The standard reference form must be used; personal reference letters will not be accepted.
  • Request the referee to send the completed confidential reference directly to Medical Affairs.
  • At least one reference must be from an immediate clinical supervisor.

Continue on to Step 3: Health Screen Form.

Go back to Step 1: Credentialing Application Package.